I fractured the tibial plateau in my knee. Surgery wasn’t needed, but I’m having quite a bit of stiffness. What’s the worst that can happen in these cases?

The tibial plateau is at the top of the lower leg bone (the tibia). It’s the surface where the thighbone attaches to the lower leg bone to form the knee joint.

The risk of problems is greater when surgery is done. There can be poor wound healing, infection, blood clots, and dislocation of the kneecap. If the break is deep enough, it can affect the joint. Arthritis can develop early, requiring a knee joint replacement. Often, more than one operation is needed.

Treatment without surgery suggests a less serious problem with a better outcome. The stiffness could lead to joint fusion over time. Most likely, with exercise and a rehab program, your range of motion will be restored fully.

Reference: 

Nicholas G. Weiss, MD, et al. Total Knee Arthroplasty in Patients With Prior Fracture of the Tibial Plateau. In The Journal of Bone and Joint Surgery. February 2003. Vol. 85-A. No. 2. Pp. 218-221.

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